Maternal singing during kangaroo care led to autonomic stability in preterm infants and reduced maternal anxiety

Arnon, Shmuel; Diamant, Chagit; Bauer, Sofía; Regev, Rivka; Sirota, Gisela; Litmanovitz, Ita

doi:10.1111/apa.12744

Cited by 157 publications

(158 citation statements)

References 29 publications

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“…7,17,18,23 Use of recorded lullaby music 20,22 or exposure to recorded maternal voice 19 were less common. Other variations included use of the Pacifier Activated Lullaby system to promote nonnutritive sucking, 25,27,30 Pacifier Activated Lullaby combined with mother's recorded voice, 24 parent-focused interactive MT, 26 and developmental multimodal stimulation either with accompanied or unaccompanied live lullaby singing.…”

Section: Intervention Characteristicsmentioning

confidence: 99%

“…31 The majority of studies (n = 13) compared MT combined with NICU standard care to standard care alone, 7, 18 -20, 22 -28, 30, 31 and 3 studies compared KC combined with MT to KC alone. 17,21,29 In all studies, trained music therapists were involved in at least 1 aspect of study design or implementation.…”

Section: Intervention Characteristicsmentioning

confidence: 99%

“…The average effect of 4 days fewer until full oral feeds for those receiving MT was not significant ( Fig 4B). Maternal anxiety was analyzed using the StateTrait Anxiety Inventory (STAI) 17,21 or its Colombian adaptation. 29 We selected state anxiety (STAI Factors 1 and 2 in ref 29) because it may be a more sensitive indicator of caregivers' current distress than trait anxiety.…”

Section: Short-term Effects Of Mt On Infant and Parentmentioning

confidence: 99%

“…16 The observed reduction in mean anxiety scores also corresponded to a shift from clinical to subclinical levels of anxiety 37 in 2 of the 3 included studies. 17,21 Elevated maternal anxiety is associated with postpartum depression 38 and impaired parenting 39 in mothers of preterm infants, whereas reduction in maternal anxiety is associated with improvements in child development during the first 2 years of life. 40 The 3 studies included in the metaanalysis of maternal anxiety all used live music in conjunction with KC, demonstrating greater improvements than with KC alone.…”

Section: Figurementioning

confidence: 99%

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Music Therapy for Preterm Infants and Their Parents: A Meta-analysis

2016

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CONTEXT: Given the recent expansion of research in the area of music therapy (MT) for preterm infants, there is a need for an up-to-date meta-analysis of rigorously designed studies that focus exclusively on MT. OBJECTIVE:To systematically review and meta-analyze the effect of MT on preterm infants and their parents during NICU hospitalization and after discharge from the hospital.DATA SOURCES: PubMed/Medline, PsycINFO, Embase, Cochrane Database of Systematic Reviews, CINAHL, ERIC, Web of Science, RILM. STUDY SELECTION:Only parallel or crossover randomized controlled trials of MT versus standard care, comparison therapy, or placebo were included.DATA EXTRACTION: Independent extraction by 2 reviewers, including risk of bias indicators. RESULTS:From 1803 relevant records, 16 met inclusion criteria, of which 14 contained appropriate data for meta-analysis involving 964 infant participants and 266 parent participants. Overall, random-effects meta-analyses suggested significant large effects favoring MT for infant respiratory rate (mean difference, -3.91/min, 95% confidence interval, −7.8 to −0.03) and maternal anxiety (standardized mean difference, -1.82, 95% confidence interval, −2.42 to −1.22). There was not enough evidence to confirm or refute any effects of MT on other physiologic and behavioral outcomes or on short-term infant and service-level outcomes. There was considerable heterogeneity between studies for the majority of outcomes.LIMITATIONS: This review is limited by a lack of studies assessing long-term outcomes. CONCLUSIONS:There is sufficient evidence to confirm a large, favorable effect of MT on infant respiratory rate and maternal anxiety. More rigorous research on short-term and long-term infant and parent outcomes is required.

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Section: Intervention Characteristicsmentioning

confidence: 99%

Section: Intervention Characteristicsmentioning

confidence: 99%

Section: Short-term Effects Of Mt On Infant and Parentmentioning

confidence: 99%

Section: Figurementioning

confidence: 99%

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Music Therapy for Preterm Infants and Their Parents: A Meta-analysis

2016

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“…Premature infants experience many health problems. Premature infants are generally unable to regulate their body temperature and also suffer from cardiovascular and respiratory system problems [4,5]. Premature infants also experience stressors in neonatal intensive care units such as bright light and painful invasive procedures [5].…”

Section: Introductionmentioning

confidence: 99%

The Significance and Effectiveness of Kangaroo Care for Premature Infants

Kaya

2017

GJPAAS

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Kangaroo care maintains thermoregulation between infants and their mothers. This technique can also be called the human incubator method, reducing newborn morbidity and mortality at considerably lower costs of infrastructure or safe and reliable practicality for both health professionals and mothers. It has recently been revealed that kangaroo care helps to reduce mortality rates in preterm infants, stabilises heart rate, maintains body temperature, reduces the need for oxygen, positively affects weight gain and sleep duration, and assures early discharge. Kangaroo care also guarantees mother-infant commitment in the postnatal period. Despite the evidence for its reliability and efficiency, its practice still remains limited due to lack of qualified medical personnel and an inadequate care environment. Consequently, it can be suggested that primary care providers in newborn intensive care units promote kangaroo care practices by establishing an efficient care environment in order to improve medical results and enhance the care quality.

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